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[单采血浆捐献中的承诺:单采血浆定期捐献者的决定因素研究]

[Commitment in plasmapheresis donation: A study of determinants among regular donors in plasmapheresis].

作者信息

Delépine-Farvacques S, Terrade Florence, Danic B, Lebaudy J-P

机构信息

LAUREPS/CRPCC, université de Rennes 2, place du Recteur-Henri-Le Moal, CS 24307, 35043 Rennes cedex, France.

LAUREPS/CRPCC, université de Rennes 2, place du Recteur-Henri-Le Moal, CS 24307, 35043 Rennes cedex, France.

出版信息

Transfus Clin Biol. 2017 Jun;24(2):38-46. doi: 10.1016/j.tracli.2017.02.003. Epub 2017 Mar 21.

Abstract

The purpose of this study, based on the Theory of planned behavior, is to identify and ultimately better understand what determines the fidelity and the regularity of donors committed in plasmapheresis donation. This qualitative study is a primary stage to establish a classification of donors in a French socio-cultural context. For this reason, we have carried out a survey among 16 regular plasmapheresis donors, by way of semi-structured individual interviews at the Établissement français du sang - Brittany. The level of commitment of these regular donors is considered as a level of appropriation. If subjective norms have initially influenced their decision to donate blood, no specific motivation has been highlighted for them to donate plasma except a generally favourable attitude towards the voluntary donation process. The perception of control over their environment is a variable which played a decisive role in the donor's intention to give, with little cost associated to plasmapheresis donation and recourse to internal causal explanations. A better comprehension of the plasmapheresis donors' determinants should lead us to a more efficient awareness of new potential donors, thereby enhancing recruitment and retention. Due to the increasing need for plasma-derived products, this study's ultimate issue is closely correlated both with ethical and socio-economic aspects. Following which, after analysing the results, a certain number of recommendations will be made.

摘要

本研究基于计划行为理论,旨在识别并最终更好地理解是什么决定了进行血浆置换捐献的献血者的忠诚度和规律性。这项定性研究是在法国社会文化背景下对献血者进行分类的初级阶段。因此,我们通过在法国血液中心——布列塔尼进行半结构化的个人访谈,对16名定期进行血浆置换的献血者进行了调查。这些定期献血者的投入程度被视为一种接受程度。如果说主观规范最初影响了他们献血的决定,那么除了对自愿献血过程普遍持积极态度外,没有发现他们捐献血浆的具体动机。对自身环境控制的认知是一个在献血者捐献意愿中起决定性作用的变量,血浆置换捐献成本较低且倾向于内部因果解释。更好地理解血浆置换献血者的决定因素应该会使我们更有效地认识新的潜在献血者,从而提高招募率和留存率。由于对血浆衍生产品的需求不断增加,本研究的最终问题与伦理和社会经济方面密切相关。在此之后,在分析结果后将提出一些建议。

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